| NPI | 1255956538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELINAZ SHOUSHTARI Chairman, Gove RN Ing Body 310-326-2102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2024-05-24 |